Southern Otologic Clinic Pc

LBN: Southern Otologic Clinic Pc
Southern Otologic Clinic Pc is an health care organization with primary practice located at 818 Saint Sebastian Way Suite 204, Augusta GA 30901-2651. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as the primary health care specialty. Southern Otologic Clinic Pc can be contacted via phone (706) 724-0668, or through Moretz, William Henry via phone (706) 724-0668.

Contact Information

Primary practice address
818 Saint Sebastian Way Suite 204 Augusta GA 30901-2651
Fax: (706) 724-1124
Website:
Authorized official contact:
Name: Moretz, William Henry Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 24465 Georgia

Profile Details

NPI number 1184651523
LBN Legal business name Southern Otologic Clinic Pc
DBA Doing business as
Authorized official Moretz, William Henry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2006
Last updated Aug 4th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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